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tv   [untitled]    February 23, 2011 7:30am-8:00am PST

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underestimated because i think that will make for an effective public engagement and effective regulatory engagement in others. now, there is a need for improvement in our tools in this area and i wanted to bring that up in the sense that there is some research and further development that needs to be done in engaging the university communities and other research organizations. but i think we gain much out of such improvement. as a second point the development of pilot projects. as mentioned again, i want to highlight it. i think it's an effective means of demonstrating something can happen.
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those are most effective if they involve participating decision making, and very much so in this meeting but decision making given the uncertainty. i just want to highlight that. lastly, i think the issue of comparative studies should not be underestimated. as we mentioned before, looking at the past compared to the future and what we believe the future is, again, looking at doing something about potential climatic change verses in case we don't do something about it, i think again, would provide a place for public communication
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and regulation process. >> thank you. yes? >> i'm with the hydrologist, barry wilson eluded to this, i think it's important to monitor what is happening and keep on that. the projection of trends is a good way to at least get a handle on something and also feedback can go to climate modelers and they can adopt their models if need be. that points toward more of a 50 year horizon more than a reasonable projection to make. it's nice to show it for a hundred years but that's pretty well mostly beyond all of our planning endeavors.
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there is a climate effort that was trying to be set up in 3 hundred stations and now it's scaled to one hundred. the energy commission is trying get another one in california. it's locating and measuring sites where we don't expect differences in the land use and really trying define really some of what's happening. the next one is maybe a little bit far out, but we're talking billions so for that kind of money, maybe we ought to support or look that idea of something out in space just like putting mirrors out there, something that can be taken down if necessary so reflect some energy back into space that we're not getting. >> thank you. brad has a comment. >> yeah, thanks. this whole question of data i
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think has or needs a very close look by the water management data. when you take the wrapper off of this you see it has lots of warts on it, let me talk about the,nrcs, in the west. i know you all have your own. but i saw a persuasive speech by randy who is quite properly convincing. changes all the way from stainless steel pillows to ten gallons and black pillows of this. vegetationle changes, the lesson here, i think in general
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and this applies to,usgs, and national weather, we need to make sure the networks are in good enough shape to make these decisions. they don't cost a lot of money but you need to know the data out there is quite flawed and we need to take care of it and make sure in the future it's doing what it needs to for us. let me expand this. there's a very nasty fight going on on the future of some satellites right now. the fight involved climate centers on these centers and certain governments want to toss them in favor of weather sensors. weather is important but climate also is. it effects all of us. no data means no good research fundamentally. so i encourage you not to lose site of some of these bigger
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issues. >> very good. >> on that issue, we're right in the process of adding 17 rain gauges, 17 instant rain gauges. i looked at how much it is to install it and it's relative to a five million dollar a year budget is nothing. you ought to go back and look at what data you wish you had and start putting that in place for whoever will follow you. we have an opportunity to make a small investment to stay with that that allow for better decisions in the future. snow funding, their so under funding we're looking to putting our own snow tell sites in, as you
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look to the future it might not be climate and regional but micro climate and my guess is lots of people are doing the same thing. but it's not that difficult of a step to do it. just sitting down and making those decisions may give you information on making better decisions for your customers. >> does that make it difficult for regions to exchange information. could you make that reliably uniform. >> rain gauge wise no body probably cares about the city of seattle but we could do some things. other than quality control and we're going to spend more money and time but i think it's easily transferable to others. >> let's go back to the floor. yes? >> i want to go back to the
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point of the technical and public engage meant. it's one piece of the puzzle but provide as lot of opportunity. water efficiency provides most of the savings on the consumer side. the numbers we heard about 18 percent, almost all of that is not water agency and waist water treatment but keeping the water in the homes using the washing machines and so on. saving that can save humans money which then energy games people into, well, maybe we should listen to the engineers and people trying create the model. >> thank you. >> yes? yes?
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>> i want to tie into the first speaker and segway the opportunity for public, private partnerships and collaboration. i have an exand pl in california that's local to the san francisco, puc, the california commission has listed grant under their renewable fuels program and they are reported to supply several millions of dollars to demonstrate the viability of product that can be commercialized. all the good
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establishments in urban areas to convert to bio diesel fuel. these collaborative opportunities are available and have been used for many years now throughout the various states and, i think the opportunity is right in front of us to take advantage of these opportunities. in this particular case you have the state of california, you have the region nine, epa, so you have a regulator, san francisco ucuc. all contributing to funds offered by the california commission. so i'd like to suggest that we, as a group here, recognize that those opportunities are out there and that we leverage those opportunitys for the sake of reducing the carbon
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footprint and if we do that, these are near turn gains we can do as we get to the long-term as far as uncertainties and hydrological issues that might take a longer time to resolve. >> i just want to come back down a little bit to something a bit on the specific side and add to specific points. chuck and i spent some time yesterday talking about infrastructure and knowing it and knowing where your pipes are and what they can and can't do. yesterday as a waist water person listening to this, i'm thinking pipes and pumps which i'm sure your thinking too but your talking,dams, and canals and part of that is understanding each others
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language but what i want to add is there's a tremendous amount of coordination and research to know pipes kind of work. i worked together with some on a number of things and there's a huge management effort on going, with, epa, to add a drinking component to that. a tool to know where your pipes are. you would be surprised how many people out there that don't know where the pipe is. they rely on joe to know where the pipe is. when joe retires we have a problem. so we need so start remembering and know where they are. what the decay curves are and their life expectancy to know where to put that. we can work with that and improve on them. as we improve our climate
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models we can use those tools to talk to each other. one of the things i'd like to leave on the table a lot of us should work together to know where the pipes are for world peace. >> there's n is a classic story i will not tell about joe and his knowledge of where the pipes are. i want to tie a couple of things together. the consensus issue was raised. i want to come back to this point that not everything is equally uncertainty. if you look at consensus. sea level is going up not down, temperature is going up, not down. snow melt is going to melt faster, not slower and run off the timing will change with more run off in the winter and
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less in the spring. magnitudes, there's more uncertainty but direction is often important from a management point, and we know a lot about direction and i could go on and on but there's a strong consensus about a number of things that lead to - as david said - to those opportunities. to get back to the comparative studies, the value of some really valuable is or should not be under estimated. let me give you an example that i should have mentioned the georgia, caucus brothers. there's three of you, i don't know how many of you are. have done a tremendous amount in this area in adaptive and
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study area and there was a study done again, almost 7 years back now i think by your brother on the american river and on the flexibility offulsom, reservoir. in terms of inflow and hydro generations and they got the damage information what it could be down stream which all of you know is a really big concern. they ran that under rules and got new information about flood damage and flood damage went through the roof with some of these increases with flows. - but then they did some
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comparative studies. if you change the operating rules - what could you do? it turns out there are operating rules that can handle the scenarios that are coming, that would permit you to generate hydro power and continue to have power supply and reduce flood damage. the information is enormously valuable to water managers. >> thank you. >> just a practical suggestion. there's a theme running through almost everyones presentations in the last day and a half that we need to do a better job of a broader range of water managers
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systems. one thing water manager's should do is simply go back and look at the capacity of their agencies. with, ab 32 in california, and with the, puc, looking at the utilities to makinging investments in water efficiency in order to save money. that means as peter recommended, if water finds where those are, to partner with you in achieving those savings. that sort of planning potentially brings it to the table but only if it finds those in the way that's compelling and that's true with regard to reoperation and the number of flooding issues and so forth. so there's a simple lesson there with working with with land use agencies. that's something utility
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agencies don't do enough of. i think it's important to look at those information internally to see well there's clearly a consensus to do more in the future. >> every water utility should to a greenhouse gas inventor. what are your greenhouse gases and where do they come from. everybody not agree on all of it but it's useful to have that baseline information, especially if the state moves to a cap or you get credit for reduction. some of you might be starting that already. >> i'm glad you mentioned greenhouse gases. the conference is on co2, there are others and methane comes to mind. many that are much more potent
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than carbon dioxide. i know that's by far the largest amount but there's the embedded question that i'd like to know are these other gases, what the water agencies can do to manager those. >> i think one more. someone that hasn't spoken frequently. in the fourth row? >> i'm with the seattle utilities and i want to expand on barries partners for example anding the funding i was recently in conference in washington and focused on carbon markets and there's a lot of discussion about linking up with the california system that's going to be emerging,
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whatever that may be along with the, i think its the reggie, system. there's a large amount of money trying to drive carbon out of the atmosphere. there's potential there, especially in california, if the systems link up to partner with funds that have billion dollars funds developed to essentially harvest certified emission reductions and trade them perhaps in the,eu, or in california. so there's a question whether the community wants their credit emission to leave the community but still, there's a lot of opportunities to others that may need assistance
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reducing the emissions. >> all right.. thank you. i think we're just about out of time and i wanted to just take the last couple of minutes to remind you that the website will be open. do you know how long laura? your going to talk about that. you have cards and you can put any comments on that. particularly if you have thoughts about what we, as agencies can do collectively to address to both prevent and address the impacts of climate change and, question two, is what specific things are you doing now to address it and would you like to share with other agencies and people involved in water supply. thank you alright. so much for being so active, and bringing such thought full comments to
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the general discussions. i want to thank our panelist for being energetic and having fresh thoughts after 36 hours of focussing on this and it's been a great pleasure having you on a panel. thank you. [applause] when a resident of san francisco is looking for health care, you look in your
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neighborhood first. what is closest to you? if you come to a neighborhood health center or a clinic, you then have access it a system of care in the community health network. we are a system of care that was probably based on the family practice model, but it was really clear that there are special populations with special needs. the cole street clinic is a youth clinic in the heart of the haight ashbury and they target youth. tom woodell takes care of many of the central city residents and they have great expertise in providing services for many of the homeless. potrero hill and southeast health centers are health centers in those particular communities that are family health centers, so they provide health care to patients across the age span. .
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>> many of our clients are working poor. they pay their taxes. they may run into a rough patch now and then and what we're able to provide is a bridge towards getting them back on their feet. the center averages about 14,000 visits a year in the health clinic alone. one of the areas that we specialize in is family medicine, but the additional focus of that is is to provide care to women and children. women find out they're pregnant, we talk to them about the importance of getting good prenatal care which takes many visits. we initially will see them for their full physical to determine their base line health, and then enroll them in prenatal care which occurs over the next 9 months. group prenatal care is designed to give women the opportunity to bond during their pregnancy with other women that have similar due dates. our doctors here are family
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doctors. they are able to help these women deliver their babies at the hospital, at general hospital. we also have the wic program, which is a program that provides food vouchers for our families after they have their children, up to age 5 they are able to receive food vouchers to get milk and cereal for their children. >> it's for the city, not only our clinic, but the city. we have all our children in san francisco should have insurance now because if they are low income enough, they get medical. if they actually have a little more assets, a little more income, they can get happy family. we do have family who come outside of our neighborhood to come on our clinic. one thing i learn from our clients, no matter how old they are, no matter how little english they know, they know how to get to chinatown,
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meaning they know how to get to our clinic. 85 percent of our staff is bilingual because we are serving many monolingual chinese patients. they can be child care providers so our clients can go out and work. >> we found more and more women of child bearing age come down with cancer and they have kids and the kids were having a horrible time and parents were having a horrible time. how do parents tell their kids they may not be here? what we do is provide a place and the material and support and then they figure out their own truth, what it means to them. i see the behavior change in front of my eyes. maybe they have never been able to go out of boundaries, their lives have been so rigid to sort of expressing that makes
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tremendous changes. because we did what we did, it is now sort of a nationwide model. >> i think you would be surprised if you come to these clinics. many of them i think would be your neighbors if you knew that. often times we just don't discuss that. we treat husband and wife and they bring in their kids or we treat the grandparents and then the next generation. there are people who come in who need treatment for their heart disease or for their diabetes or their high blood pressure or their cholesterol or their hepatitis b. we actually provide group medical visits and group education classes and meeting people who have similar chronic illnesses as you do really helps you understand that you are not alone in dealing with this. and it validates the experiences that you have and so you learn from each other. >> i think it's very important
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to try to be in tune with the needs of the community and a lot of our patients have -- a lot of our patients are actually immigrants who have a lot of competing priorities, family issues, child care issues, maybe not being able to find work or finding work and not being insured and health care sometimes isn't the top priority for them. we need to understand that so that we can help them take care of themselves physically and emotionally to deal with all these other things. they also have to be working through with people living longer and living with more chronic conditions i think we're going to see more patients coming through. >> starting next year, every day 10,000 people will hit the age of 60 until 2020. . >> the needs of the patients that we see at kerr senior center often have to do with
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the consequences of long standing substance abuse and mental illness, linked to their chronic diseases. heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses. when you get them in your 30's and 40's and you have them into your aging process, you are not going to have a comfortable old age. you are also seeing in terms of epidemics, an increase in alzheimer's and it is going to increase as the population increases. there are quite a few seniors who have mental health problems but they are also, the majority of seniors, who are hard-working, who had minimum wage jobs their whole lives, who paid social security. think about living on $889 a month in the city of

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